International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
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Case Report

Volume 14, Number 1, June 2025, pages 7-12

Surgical Repair of an Idiopathic Pediatric Popliteal Artery Aneurysm

Figures

↓  Figure 1. Coronal multi-planar reconstruction of the lower limb vessels demonstrating the right popliteal pseudoaneurysm (arrow).
Figure 1.
↓  Figure 2. Popliteal pseudoaneurysm visible via posterior surgical approach.
Figure 2.
↓  Figure 3. Interposition graft repair using reversed great saphenous vein.
Figure 3.

Table

↓  Table 1. Review of the Literature of Cases of Pediatric Popliteal Artery Aneurysm/Pseudoaneurysm
 
Authors Age Gender Clinical presentation Surgical approach Surgical procedure Postoperative antiplatelet/anticoagulation
GSV: great saphenous vein; LMWH: low molecular weight heparin; PTFE: polytetrafluoroethylene.
Current case 14 Female Acute limb ischemia Posterior Interposition graft with GSV 3 months aspirin
Tolstano et al 2021 [1] 5 Male Swelling, visible veins and purplish discoloration Medial Interposition graft with GSV Not specified
Sivaharan et al 2019 [2] 6 Male Acutely ischemic foot Medial Interposition graft with GSV At least 3 months LMWH for secondary patency
Abich et al 2021 [3] 16 Male Acute knee pain and tightness Posterior Interposition graft with GSV Not specified
Megalopoulos et al 2007 [4] 4 Male Pulsatile mass popliteal fossa/foot drop Posterior Interposition GSV Not specified
Nasir et al 2022 [5] 8 Male Dull pain behind knee Posterior Contralateral GSV Not specified
Notrica et al 2016 [6] 15 Female Acute leg pain Medial Interposition GSV LMWH and aspirin
Perez-Burkhardt et al 2003 [7] 14 Male Painful, pulsatile mass Posterior Popliteal pseudoaneurysm repair by primary suturing of defect Not specified
Stinnett et al 1987 [8] 10 Female Acute leg pain Not specified Interposition GSV Not specified
Rangdal et al 2013 [9] 8 Female Palpable mass Not specified PTFE interposition graft Not specified
Pavic et al 2011 [10] 14 Female Pulsatile mass Not specified Repair of popliteal pseudoaneurysm/primary suture repair Not specified
Al-Hadidy et al 2007 [11] 16 Male Swelling and pain Not specified Excision of popliteal pseudoaneurysm and GSV interposition Not specified
Nasr et al 2022 [12] 17 Male Acute limb ischemia Posterior Excision of popliteal pseudoaneurysm and end to end anastomosis Not specified
Onan et al 2014 [13] 12 Male Knee swelling/foot drop Medial Excision of popliteal pseudoaneurysm and primary end to end anastomosis Not specified